Summer 2018 Individual Player Registration Session 2

Summer 2018 NHSLS Individual Player Registration Session 2

In order to register, the box for the refund policy must be “checked” and select your High School from the menu below. Registration is complete only with completed payment.
REFUNDS: If you feel you are due a refund for any reason, PLEASE send an email to jmayhorne@verizon.net, to avoid an additional administrative fee on top of following refund policies. Any injury/conflict refund will result in a $40.00 charge. Any refund due to a double registration will result in a $25.00 charge. No refunds are issued due to injury during the event.

1Personal Info

2Waiver Info

3Payment Info

Player Name*

FirstLast

Team Selection

Find your school in one of the two options below. Some teams have prepaid by check, and some require individual players to register by credit card. ** If more than one high school is mistakenly selected during the registration process, the only way to correct is to begin a new registration.

HOWARD COUNTY DEPARTMENT OF RECREATION AND PARKS PLAYER WAIVER, RELEASE OF LIABILITY AND INDEMNIFICATION AGREEMENT ROSTER.
I, the undersigned parent/player, acknowledge, agree and
understand that:
1. Voluntarily and of my/my child’s own free will, I elect to participate
as a member of the team and league indicated below.
2. I understand that there are certain risks and hazards involved
in participating in any sport that may result in injury or death to me
or other players, including, but not limited to those hazards
associated with weather conditions, playing conditions,
equipment and other participants.
Further, I, the undersigned parent/player, agree that in consideration
for the right to play as a member of the team designated below
and in consideration for permission to play on the fields or courts
arranged for by the team or league:
1. I voluntarily elect to accept and assume all risks of injury incurred
or suffered by my child/me (a) while practicing or playing as a
member of the team so designated, (b) while serving in a
non-playing capacity as a team member during practice or
play by other players on my team, and (c) while on or upon
the premises of any and all of the facilities arranged for by my
team or league for practice or play.
2. I release, discharge and hold harmless the team and league
designated below, the facility owner or other entity designated
below, the Howard County Department of Recreation and Parks,
Howard County, its officers, agents, associations, employees,
or any person or entity connected with the team, league, or
facility for any claim, damages, costs or cause of action which
I/my child has or may in the future have as a result of injuries
or damages sustained or incurred by me from any cause related
to my participation as a member of the team.
3. I agree/my child agrees to abide by all rules and regulation of the Howard County Department of Recreation and Parks.
4. I attest that the Howard County Recreation and Parks Concussion Information has been received by players and their parents on this roster, and furthermore if the activity occurs on school facilities, these players and parents have acknowledged receipt of the Department’s concussion information.
Managers and game officials should thoroughly inspect their facility
before each use for safe conditions. Any unsafe conditions must be reported to the Department immediately.

I have read, understand, and agree to the Howard County Liability Waiver.*

I agree.

By agreeing below, I acknowledge that I have read and understand this form and further understand the terms herein are contractual and not a mere recital.*

I agree

In consideration of participating in the National High School Lacrosse Showcase (NHSLS), the player named above and the parent or guardian do hereby agree for ourselves, our heirs, executors and administrators, to release, hold harmless
and forever discharge NHSLS and their officers, staff, administrators, volunteers, sponsors and
representatives and assigns, for and against any and all claims, actions, cause of actions, suits, judgments,
and demands whatsoever directly or indirectly in connection the player’s participation in the NHSLS.

TREATMENT/MEDICAL RELEASE AUTHORIZATION*

I agree

I/we being the legal guardians of the applicant authorize the staff of the NHSLS and its agents permission to request treatment to ensure the well being of our dependant. I certify that he is in good health and able to participate in the scheduled games.

Total

$0.00

For teams paying individually per player, registration is complete only with payment of $298.00

REFUNDS: If you feel you are due a refund for any reason, PLEASE send an email to jmayhorne@verizon.net, to avoid an additional administrative fee on top of following refund policies. Any injury/conflict refund will result in a $40.00 charge. Any refund due to a double registration will result in a $25.00 charge. No refunds are issued due to injury during the event.